Ayan Ahamed

Individual provider Active NPI Behavior Technician · Bloomington, MN

NPI 1619862422 · NPPES record last updated Jun 11, 2025

Key facts

NPI
1619862422
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9323 Garfield Ave S
Bloomington, MN 55420-3505
Phone
(619) 277-0006
NPI assigned
Jun 11, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

9323 Garfield Ave S
Bloomington, MN 55420-3505

Mailing address

9323 Garfield Ave S
Bloomington, MN 55420-3505
Phone (619) 277-0006

Other providers in Bloomington, MN

All providers in Bloomington, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.